Individual provider · Type 1 NPI

Eric Quinn Fuqua, RADPSS

Peer Specialist · Louisville, KY

NPI number 1902742935 Active

Practice location

3934 Dixie Hwy Ste 210
Louisville, KY 40216-4176

Mailing address

5439 Bruce Ave
Louisville, KY 40214-4130

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X297415 (KY)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1902742935

Eric Quinn Fuqua, RADPSS's National Provider Identifier is 1902742935, issued on Apr 23, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Louisville, KY. The record was last updated on Apr 23, 2026.